Mo. Rev. Stat. § 137.570
Form of ballot.
137.570. Form of ballot. — The question shall be submitted in substantially the following form:
Shall the ______ road district of ______ County levy an additional tax rate of ______ cents on the hundred dollars valuation, for a period of ______ years?
(L. 1945 p. 1478 § 8530, A.L. 1949 p. 555, A.L. 1978 H.B. 971)